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DUE IN 26 HOURS

Mass Stress Final Project Written Assignment

You are writing from a health perspective as a nurse:

1. Identify the psychosocial effects likely to occur in various types of disasters. 

2. Formulate strategies that Nurses can use to help people in the immediate aftermath of a disaster.

3. Discuss the impact of disaster trauma on first responders. 

4. Describe community reactions to a large-scale disaster. 

5. Describe the psychosocial training needs of all disaster responders. 

6. Describe helpful interventions for use with survivors of a disaster. 

7. Describe the characteristics of PTSD. 

8. Discuss the possible benefits and dangers of psychological debriefing. 

Support your responses from the literature, using at least 3 scholarly resources, of no more than 5 years of age.   A scholarly resource is defined as an evidence-based practice; peer-reviewed journals; textbook; and national standard guidelines. Your paper should be in APA format 7th edition, 3-5 pages in length, not counting the title page and reference page. 

Assignment Content

1. Imagine you are working as a manager in a local hospital. You received some patient satisfaction survey data and were asked to review the data and consider the impact on consumer relations. 

   Review the Patient Satisfaction Survey.

   Answer the prompts provided based on the Patient Satisfaction Survey Data.

   Cite a minimum of one reference to support your assignment.

   Format your assignment according to APA guidelines. 

Begin reviewing and replying to peer postings/responses early in the week to enhance peer discussion. See the rubric for participation points. Participate in the discussion by asking a question, providing a statement of clarification, providing viewpoints with a rationale, challenging aspects of the discussion, or indicating relationships between two or more lines of reasoning in the discussion. Always use constructive language, even in criticism, to work toward the goal of positive progress.

Peer 1

Nursing services play an important role in caring for patients and families in the community and providing them the support they need. For patients with problems ranging from chronic health conditions to need of elder care, nursing has proved itself an important part of the healthcare team. In fact, many people now prefer sending their elderly parents to a daycare for nursing, rather than to a long-term care facility.

For this topic, interview a community-based nurse or nurse practitioner who sees individuals in the home setting. Describe the nurse’s responses to the following questions:

• What are your job responsibilities?
• Does a correlation exist between your job description and your practice?
• Are you involved in policy formulation that affects client services?
• Do you belong to a professional organization related to your current job position?

I was able to interview someone that I know and she works as the RN for a home health agency. She is responsible for taking referrals if they come through to the office while she is there, completing the assessment for services. During the assessments she averages out what the number of hours the person may need and then send that information to the insurance company. She also along with the business owner or program administrator completes the follow up contacts for the patients. They are completed either 30, 60 or 90 days. She also is in charge of any health related trainings that the staff would have to complete. 

She believes that her job description and her actually practice go hand in hand. She feels that she does only what is called of her on most days. There are days she might help around the office just  to lend a helping hand but does not feel pressured to do other people jobs at her agency. 

When I asked about policy formulation she stated that she does help with only the medical policies that pertain to the client’s care. She does not currently belong to any professional organizations but she wants to look into membership in the future.

Peer 2

 Being a home health nurse or nurse practitioner means that the individual that is suffering from an illness receives medical visits in the comfort of their home. “Home care involves a wide range of technical and supportive care for patients after discharge from the hospital, maintaining the health of the disabled people and the elderly at home, preventing unnecessary admission, and meeting the daily needs” (Fatemi, 2019, p. 119). For the purposes of this discussion, I chose to interview DG, a previous coworker that is now a Nurse Practitioner that makes visits to people’s homes. She has been a nurse for 10+ years and has just recently started working in the home health field in the last couple of years. 

            When asking about her job responsibilities, there were many different things she was responsible for when it came to her patients. Some of the main responsibilities that she had was communication between the doctor and any other person that was involved in the patients plan of care. This is the most important aspect of any job but especially caring for a patient int the home setting because of the time that they are not being monitored by medical personnel in person. Another important part of her responsibilities was to carry out standing order for both acute and chronically ill patients. Based off the data that she communicated to the doctor, orders were placed, and it was then her responsibility to carry out the ones within her scope of practice. Also, while visiting with these patients, she was to assess and detect any abnormal issues and once these were determined, begin early interventions to treat the adverse issue. Another major part of her duties was to educate on the disease process and the medications that are prescribed. Knowing what to expect from the disease process will give the family a feeling of comfort and also help them to know when a major change may occurring with the patient and when they should notify the appropriate staff member. Medication education is important because unlike when the patient is in the hospital, the patient may have to self-administer or maybe the family members will be administering them and with the appropriate education, they will know what side effects to look for and when the medication may be contraindicated. While DG is very passionate about her job and the patients she cares for, she is not involved in policy making processes nor does she belong to any professional organizations related to her current position. When she was asked about this, she did not have much to say about it and after further discussion she stated she would rather be at the bedside actively helping the patients rather than in the office making decisions on policies and not knowing how they were effecting the outcomes of patient care. 

            As you can see, being a home health Nurse Practitioner can be rewarding because of the difference you are able to make in the patients life from within the comfort of their home but it can also be a very busy depending on the patient load and the acuity of patients along with any unexpected changes that may occur amongst each individual patient.  

Fatemi, N. L., Moonaghi, H. K., & Heydari, A. (2019). Perceived Challenges Faced by Nurses in Home Health Care Setting: A Qualitative Study. International Journal of Community Based Nursing & Midwifery, 7(2), 118–127.

 PLEASE FOLLOW THE INSTRUCTIONS BELOW

5 REFERENCES

ZERO PLAGIARISM

Although supportive psychotherapy and interpersonal psychotherapy share some similarities, these therapeutic approaches have many differences. When assessing clients and selecting therapies, it is important to recognize these differences and how they may impact your clients. For this Assignment, as you compare supportive and interpersonal psychotherapy, consider which therapeutic approach you might use with your clients.

Learning Objectives

Students will:

• Compare supportive psychotherapy and interpersonal psychotherapy
• Recommend therapeutic approaches for clients presenting for psychotherapy

To prepare:

• Review the media in this week’s Learning Resources.
• Reflect on supportive and interpersonal psychotherapeutic approaches.

The Assignment

In a 1- to 2-page paper, address the following:

• Briefly describe how supportive and interpersonal psychotherapies are similar.
• Explain at least three differences between these therapies. Include how these differences might impact your practice as a mental health counselor.
• Explain which therapeutic approach you might use with clients and why. Support your approach with evidence-based literature.

Maternal Morbidity and Mortality

The U.S. has unacceptable rates of maternal morbidity and mortality, especially when compared to other developed nations. Women in America continue to experience sickness and death throughout the perinatal period – during pregnancy, birth, and in the postpartum period. 

This activity provides resources and educational stories from National Public Radio (NPR), USA Today, the Association of Women’s Health, Obstetric, and Neonatal Nurses (AWHONN), the March of Dimes, and the Illinois Department of Public Health. Please work through the activities and respond to the prompts after each section directly on this document. Place your responses on this document in a different color ink or font.Submit this assignment to clinical Absences Assignment Dropbox.

Student Name: _________________________________________

1. NPR maternal mortality series (2017): https://www.npr.org/series/543928389/lost-mothers

o WatchTo Keep Women from Dying in Childbirth, Look to California (14:07)

o WatchFocus on Infants During Childbirth Leaves U.S. Moms in Danger (12:11)

o WatchBlack mothers keep dying after giving birth: Shalon Irving’s story explains why (12:11)

o WatchFor every woman who dies in childbirth in the U.S., 70 more come close (10:42)

o ReadRedesigning Maternal Care: OB-GYNs Are Urged to See New Mothers Sooner and More Often (4/23/2018)

o ReadNearly Dying in Childbirth: Why Preventable Complications Are Growing in the U.S. (12/22/2017)

o WatchMany Nurses Lack Knowledge of Health Risks to Mothers After Childbirth (6:54)

o ReadIf You Hemorrhage, Don’t Clean Up: Advice From Mothers Who Almost Died (8/3/2017)

o ReadU.S. has the worst rate of maternal deaths in the developed world (5/12/2017)

Prompt #1: Choose two of the video stories and two of the article stories that captured your attention the most. Provide a brief summaryfor each of the four pieces. Include your reaction, and if anything surprisedyou. Each commentary should be a separate paragraph, 4-5 sentences for each.

2. USA Today videos and stories (2018)

Deadly Deliveries: (9 minutes)

https://www.usatoday.com/in-depth/news/investigations/deadly-deliveries/2018/09/19/maternal-death-rate-state-medical-deadly-deliveries/547050002/

Prompt #2: Briefly summarize Antoinette Pratsinakis, Ali Lowry and YoLanda Mention’s stories. What were their complications? What did the health care team do right? What did they do wrong?

How Hospitals Are Failing New Moms, in Graphics:

https://www.usatoday.com/deadly-deliveries/interactive/how-hospitals-are-failing-new-moms-in-graphics/

Prompt #3: Define maternal mortality. Rank the maternal mortality rate from lowest to highestfor the following developed nations: U.S., Canada, Germany, Japan, France, England. Approximately how many women die in childbirth in America every year? How many suffer severe complications? 

3. AWHONN: Read the article “Saving Women’s Lives” https://awhonnconnections.org/category/post-pregnancy/postpartum-care/

Prompt #4: What does the acronym POSTBIRTH stand for? How can we use this to better educate our new mothers on postpartum risks? 

4. March of Dimes – Read position statement:

https://www.marchofdimes.org/materials/March-of-Dimes-Maternal-Mortality-and-SMM-Position-Statement-FINAL-June-2018.pdf

Prompt #5: According to the CDC, what are “pregnancy-related deaths”? What are the top causes of maternal deaths? What is the role of the March of Dimes in efforts to reduce maternal mortality?

5. Read about House Resolution (HR) 1318: 

https://www.congress.gov/bill/115th-congress/house-bill/1318

Prompt #6: What is the name of HR 1318? In your own words, summarize HR 1318. What and when was the outcome of HR 1318? Do you think this will help to reduce the problem of maternal M&M? Why?

7.  Read article:  Illinois Releases First Maternal Morbidity and Mortality Report

http://www.dph.illinois.gov/news/illinois-releases-first-maternal-morbidity-and-mortality-report

Prompt #7: What were the highlights of what the committee found? Summarize the 6 key recommendations from the report.

8. Final reflection

Prompt #8: 

o What reaction did you have to these resources? What was the most impactful story, article, or new information you learned? Why? 

o What solutions have been suggested to address the growing problem of preventable complications? What is our responsibility, as health care professionals? 

o What do you think are the barriers that nurses face which prevent the delivery of quality care and education?

Edit question’s attachments..

Write a critical appraisal that demonstrates comprehension of two quantitative research studies. Use the “Research Critique Guidelines – Part II” document to organize your essay. Successful completion of this assignment requires that you provide a rationale, include examples, and reference content from the study in your responses.

Use the practice problem and two quantitative, peer-reviewed research articles you identified in the Topic 1 assignment to complete this assignment.

In a 1,000–1,250 word essay, summarize two quantitative studies, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.

 Quantitative Studies 

 Background of Study 

 Article Support of Nursing Practice 

 Method of Study 

 Results of Study 

 Anticipated Outcomes and Outcomes Comparison 

1) Minimum 9 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

              Part 1: Minimum 1 page

              Part 2: minimum 1 page

              Part 3: minimum 1 page

              Part 4: minimum 1 page 

              Part 5: Minimum 1 page

              Part 6: minimum 1 page

              Part 7: minimum 1 page

              Part 8: minimum 1 page

              Part 9: minimum 1 page

Submit 1 document per part

2)¨******APA norms, please use headers

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

         Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question.

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________

Part 1:

1. Explain the planning process of community health improvement. 

2. Choose one of the models / tools for community health planning discussed in your book and explain it. (Please, mention which model / tool you chose).  (See chapter 1 and 2).

Part 2:  

1. Mention at least three benefits of massage physical level and explain them

2. Mention at least 3 contraindications of massage and explain them

2. Have you ever had a massage? 

a. What type of massage? Please, tell about your experience. 

Part 3:  

1. To best understand the concepts of ethics, define the following terms:

• Utilitarianism
• Egoism
• Relativism
• Absolutism

2.List two of the functions of a gerontological nurse regardless of practice setting.

Part 4:  

Case Study, Chapter 9, Diversity in the Nursing Workforce

A group of nurse educators are having a discussion about the minority student nurses. The nurse educators believe that there are numerous barriers to minority student success in nursing education. The nurse educators want to develop strategies to increase the success rate in graduation of these students.

1. The nurse educators make a list of the barriers that exist for minority student success. What are common barriers for minority student success?

2. The group of nurse educators is acutely aware that different generations are represented in nursing today. These different generations have different attitudes and value systems, which greatly affect the settings in which they work. What are the key characteristics of the four generational groups that are present in today’s workforce?

3. Analyze and describe how the different generations present in nursing today affect nursing care and the nursing workplace. 

Part 5: Florida

Go to the following website by clicking on the provided link, http://www.countyhealthrankings.org/ , and select a county and a state (this may be the county/state in which you reside, attend school, or plan to live and work as an APRN). After reviewing the website and the health outcomes in the County Health Rankings for the area, answer the following questions in a few short sentences as part of your discussion.

1. Briefly list the general statistics pertaining to a specific health concern that is on the rise in selected the city/county. 
2. How can the creation of a community health center program help to address this public health problem?
3. What can you as a nurse practitioner and/or nurse leader do to influence policy innovation to resolve the problem?

Part 6: California

Go to the following website by clicking on the provided link, http://www.countyhealthrankings.org/ , and select a county and a state (this may be the county/state in which you reside, attend school, or plan to live and work as an APRN). After reviewing the website and the health outcomes in the County Health Rankings for the area, answer the following questions in a few short sentences as part of your discussion.

1. Briefly list the general statistics pertaining to a specific health concern that is on the rise in selected the city/county. 

2. How can the creation of a community health center program help to address this public health problem?

3. What can you as a nurse practitioner and/or nurse leader do to influence policy innovation to resolve the problem?

Part 7: Colorado

Go to the following website by clicking on the provided link, http://www.countyhealthrankings.org/ , and select a county and a state (this may be the county/state in which you reside, attend school, or plan to live and work as an APRN). After reviewing the website and the health outcomes in the County Health Rankings for the area, answer the following questions in a few short sentences as part of your discussion.

1. Briefly list the general statistics pertaining to a specific health concern that is on the rise in selected the city/county. 

2. How can the creation of a community health center program help to address this public health problem?

3. What can you as a nurse practitioner and/or nurse leader do to influence policy innovation to resolve the problem?

Part 8:

Issue: Infection Control and Prevention 

Topics: Cleaning and disinfection; Standards precaution and Cross-contamination

Place:  University Plaza Nursing and Rehabilitation center 

After discussion with your preceptor:

1. Name one financial aspect, one quality aspect, and one clinical aspect that need to be taken into account for developing the evidence-based change proposal. 

2. Explain how your proposal will directly and indirectly impact each of the aspects.

Part 9:

Issue: Infection Control and Prevention 

Topics: Cleaning and disinfection; Standards precaution and Cross-contamination

Place:  University Plaza Nursing and Rehabilitation center  

Now that you have completed a series of assignments that have led you into the active project planning and development stage for your project, 

1. Briefly describe your proposed solution to address the problem, issue, suggestion, initiative, or educational need 

2. how it has changed since you first envisioned it. 

3. What led to your current perspective and direction?

Poverty Reflection Assignment 3

Reflect upon the clinical problem that you have identified in your area of nursing practice (as identified in Module 1). Critically appraise the research and summarize the knowledge available on the clinical problem (minimum requirement of 6 scholarly journal articles reviewed and appraised for application to practice problem). Outline a strategic plan for implementation of a practice change in your clinical practice environment based upon your findings. Describe how you intend to operationalize the practice change in your practice environment. What theoretical model will you use and how will you overcome barriers to implementation? What sources of internal evidence will you use in providing data to demonstrate improvement in outcomes? Describe evaluation methods of implementation clearly. Are there any ethical considerations? Use at least 1200 words with 2-3 references.

Self-Directed Learning Plan (SDLP)

Purpose:

It’s important to develop your professional goals and how you achieve them in this course and your chosen program.

Directions:

After exploring the course description, course outcomes, and unit themes and outcomes, complete your SDLP for your professional objectives and create a Skill Market pertinent to an opportunity with an employer found in your week 8 learning activity.

What did you expect to learn in this course and what do you expect to learn in your program that will help you achieve your academic and professional goals? You are encouraged to reflect earnestly about how the course content and experience might serve your goals, as well as about what you might proactively do throughout your program to develop in your target areas.

If you have determined there are additional areas from which you would benefit, or areas you would like to replace, this is a good time to do so. Remember, this is your learning plan, so design it to help you achieve your unique goals.

Learning Plan

1. Identify your anticipated nursing role.
2. List your professional goals (3–5 years from now).
3. Identify the Knowledge, Skills, and Accomplishments needed for the advanced nursing role that you have identified above. A minimum of three items should be listed for each of the Knowledge, Skills, and Accomplishments.
4. Discuss at least three Strengths to Leverage. Complete steps 1, 2, and 3 of the template for Strengths to Leverage.
5. Discuss at least one Area to Develop. Complete steps 1, 2, and 3 of the template for Areas to Develop.
6. Write a reflection that discusses what you learned in this course and expect to learn in your program that will help you achieve your academic and professional goals. Provide an evaluation of how your SDLP can provide for lifelong learning. The reflection should be a minimum of 300 words.

You must submit the Unit 10 SDLP Assignment using the SDLP Template. You should not submit a written paper for the Unit 10 SDLP Assignment. If you have references to support your SDLP then you should add a heading References at the end of the SDLP Template and add the references in APA format. You do not need to have a title page for this assignment.

This Assignment will be partially graded based on evidence of thoughtful development of your SDLP.

Skill Market

What is it?

Skill marketing is the art or practice of proactively shopping yourself to employers, tailored specifically to each position you apply for. This allows you to speak directly to the position you are applying for and why you are qualified for the role. This should be limited to no more than two paragraphs and can be used in your Cover Letter more formally.

What to include:

• The position you are applying for, the skills that qualify you, including education, military experience, volunteer work, clinical rotations, civilian work experience, and both hard and soft skills.

When to use:

• You are reaching out to contact via LinkedIn
• You are submitting a resume via email to a company that you are interested in, but may not have listed openings at this time
• You’re submitting a resume via email
• As a part of a “thank you” or follow-up letter after an interview
• Anytime you want to illustrate a correlation between what the employer is seeking, and what you have to offer

For more information, watch this short video:

• Skill Market

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.

Assignment Requirements:

Before finalizing your work, you should:

• be sure to read the Assignment description carefully (as displayed above);
• consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
• utilize spelling and grammar checks to minimize errors.

 LEARNING OUTCOMES By the end of this course, you should be able to: MN501-1: Determine the impact of the APRN Consensus Model on APRN practice. MN501-2: Examine advanced practice nursing roles with regards to their interaction with other healthcare providers in collaborative practice models. MN501-3: Investigate novel roles for advanced practice nursing related to emerging healthcare trends and needs. MN501-4: Develop a marketing plan for the advanced practice nurse that incorporates the competencies of advanced practice nursing. MN501-5: Evaluate a professional plan for career goals and lifelong learning. PC-3.5: Engage in career development and advancement strategies, including effective networking, mentoring, and creating a personal brand. C